The client has his left leg amputated following a motorcycle accident. Which of the following does the nurse need to assess when helping this client form realistic goals and strategies?

Question

a. Interests and past accomplishments
b. Spiritual strengths
c. Involvement with significant others
d. Self-concept

Answer 1

D

Feedback
A Assessing a client's interests and past accomplishments may provide information regarding a client's identity. Identity is only one component of self-concept. The nurse must determine the client's self-concept to get "the big picture," as this will greatly affect the client's response to the amputation.
B Spiritual strengths may be important when determining a client's ability to cope. However, when developing goals and implementation strategies, the process will begin with the client's self-concept, as this will greatly affect the client's response to the amputation.
C When assessing coping behaviours of an individual, involvement with significant others may be an indication of available resources, as well as a source of strength for a client.
D What individuals think and how they feel about themselves affect the way in which they care for themselves. A physical change in the body, such as an amputation, can lead to an altered body image affecting identity and self-esteem. The nurse should assess the client's ideal and perceived self-concept in order to help the client establish realistic goals and implementation strategies.